Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THEODORE BENNETT GORDON, O.D.
Active Sole ProprietorDR. THEODORE BENNETT GORDON, O.D. is a Optometrist healthcare provider located in LUDLOW, Massachusetts. NPI 1568455962 is currently active in the NPPES registry. Verify at CMS.
Optometrist · LUDLOW, MA
Registration Details
- NPI Number
- 1568455962
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2005 (20.937777023175 yrs)
- Last Updated
- Jan 17, 2008
- License
-
2253 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
354 SEWALL STCENTERGATE COMMONSLUDLOW, MA, 010562711Browse MA providers · Browse ZIP 01056
- Phone
- 4135832260
- Fax
- 4135833957
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in LUDLOW, MA
| Name | Credential | NPI |
|---|---|---|
| DR. BRETT PATRICK BURNS | OD | 1336709757 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.